Dr Mike A Lutz, DDS is a
Dentist - General Practice based in California, Missouri. Dr Mike A Lutz is licensed to practice in Missouri (license number 14895) and his current practice location is
1021 W Buchanan St, Suite 18, California, Missouri. He can be reached at his office (for appointments etc.) via phone at
(573) 796-8686.
NPI number for Dr Mike A Lutz is 1912947037 and his current mailing address is 30500 S Gerhart Rd, California, Missouri. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1912947037.
Healthcare Provider's Profile
| Full Name | Dr Mike A Lutz |
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| Gender | Male |
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| Speciality | Dentist - General Practice |
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| Location | 1021 W Buchanan St, California, Missouri |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1912947037
- Provider Enumeration Date: 06/07/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Dr Mike A Lutz such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1912947037 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 1223G0001X | Dentist - General Practice | 14895 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mike A Lutz is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Dr Mike A Lutz, DDS
30500 S Gerhart Rd,
California, MO 65018-3155
Ph: (573) 796-8255 | Dr Mike A Lutz, DDS
1021 W Buchanan St, Suite 18,
California, MO 65018-1238
Ph: (573) 796-8686 |
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